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Vol 23 No 5 May/June 2018

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Extreme Prematurity: Practice, Bioethics and the Law

ISBN13: 9780521680530
ISBN: 0521680530
Published: November 2006
Publisher: Cambridge University Press
Country of Publication: UK
Format: Paperback
Price: £36.99

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Extreme Prematurity examines the controversial issues surrounding the clinical management of this group of neonates by the intervention of modern neonatal intensive care. The foregoing of life-sustaining treatment is of particular importance. The subject matter is very relevant because of the alarming increase in multiple and preterm births, due to the increase in women who are undergoing assisted reproductive procedures, and the large increase in premature labor. No recent book covers the subject in such comparable breadth.

The first section of this very timely monograph covers the epidemiology and practices in different parts of the world; the second section covers bioethics considerations, including ethical theories, moral principles and quality of life issues; the third section covers national and international guidelines; the last section covers medical law aspects in the US and around the world.

  • The only book available that examines the controversial issues surrounding the clinical management of extreme premature neonates, many of which are caused by the increasing use of assisted reproductive procedures
  • The author reviews both the epidemiology and practices, and the bioethics considerations of this problem on a country by country basis
  • He includes a section on current national and international guidelines that cover the care of this class of patients

Medical Law
Part I. The Extremely Preterm Infant: Epidemiology, Perceptions and Practices:
1. Introduction
2. Historical aspects
3. Survival
4. Influence of obstetric management
5. Effect of resuscitation in the delivery room
6. National comparisons
7. Prediction of outcome
8. Limit of viability
9. Morbidity
10. School age outcome
11. Adolescence
12. Perceptions and practices
13. Resource expenditure
Part II. Bioethics: 14. Moral theory
15. Autonomy
16. Beneficence and non-maleficence
17. Justice
18. Sanctity of life
19. Active and passive euthanasia
20. Personhood
21. Quality of life and best interests
22. Futility
Part III. Reports, Official Opinions and Guidelines:
23. United States of America
24. Canada
25. United Kingdom
26. France
27. Italy
28. Germany
29. International
Part IV. The Law: 30. Introduction
31. United States of America
32. Canada
33. Australia
34. Japan
35. Italy, Germany, and Poland
36. France
37. The Netherlands
Part V. Epilogue: Truth, Trust and Boundaries.